| NPI | 1457668386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 4394) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 4394) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2019-07-18 |